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Our fiscal future is so dominated by health care that if we can slow the rate of cost growth by just 15 basis points per year (that is, 0.15 percentage points per year), the savings on Medicare and Medicaid would equal the impact from eliminating Social Security’s entire 75-year shortfall.

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As president, Obama lost the support of Republicans in February during the debate over the stimulus package. Over the summer, economic concerns and the health care debate cost the president support among unaffiliated voters. By October, a month-by-month review showed that Obama’s overall job approval had slipped to 48% among Likely Voters.